Paediatric anaesthesia
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Paediatric anaesthesia · May 2001
Randomized Controlled Trial Comparative Study Clinical TrialA prospective randomized controlled study of the efficacy of ketamine for postoperative pain relief in children after adenotonsillectomy.
Adenotonsillectomy is commonly needed by children with obstructive sleep apnoea syndrome. This population is at high risk of life threatening airway obstruction in the postoperative period. ⋯ Ketamine is a safe and effective alternative to morphine to provide analgesia in the immediate postoperative period after tonsillectomy.
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Paediatric anaesthesia · May 2001
Postal survey of cuffed or uncuffed tracheal tubes used for paediatric tracheal intubation.
A postal survey of the use of cuffed or uncuffed tracheal tubes for tracheal intubation in children and infants was performed to investigate the criteria used for deciding the choice of tube and the manner of inflating the cuff in the case of use of a cuffed tracheal tube (CTT). From 200 questionnaires despatched, replies were received from 130 paediatric anaesthesiologists (response rate 65%). In paediatric practice, the CTT was routinely used by 25% of respondents for more than 80% of their patients, while more than 37% of respondents use them in less than 20% of the cases. ⋯ These criteria were specified, respectively, by 32%, 24% and 18% of the respondents. The cuff was inflated in response to a leak in 18% of the cases and as a response to a pressure manometer in 15% of the cases. Few paediatric anaesthesiologists use a cuffed tracheal tube routinely for tracheal intubation in children, and fewer actually use a pressure monitoring device, while it is suggested that the cuff pressure should be monitored in case of CTT.
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We wished to determine a consensus view from UK paediatric anaesthetic consultants of what practical skills are safe and appropriate for an anaesthetic trainee to perform during an initial 3-month module in paediatric anaesthesia. ⋯ Anaesthetic registrars undertaking an initial module in paediatric anaesthesia should learn basic airway management, ilioinguinal blocks, penile blocks and caudals (but not neonatal caudals).
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Paediatric anaesthesia · May 2001
Biography Historical ArticleAn appreciation of Dr. Gordon Jackson Rees FRCA, FRCP, FRCPCH: pioneer of paediatric anaesthesia.